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Organization

OLSON PEDIATRIC CLINIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELIZABETH GRAFF M.D. (PHYSICIAN)
(503) 635-3743
Entity
Organization

Contact information

Practice address
16463 BOONES FERRY RD, SUITE 400, LAKE OSWEGO, OR 97035-4259
(503) 635-3743
(503) 636-7404
Mailing address
16463 BOONES FERRY RD, SUITE 400, LAKE OSWEGO, OR 97035-4259
(503) 635-3743
(503) 636-7404

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary

Other

Enumeration date
01/18/2013
Last updated
01/18/2013
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